| NPI | 1093921017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 107483) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KS 11-02697) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |